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1770973612
ADVANCED DERMATOLOGY OF MICHIGAN, PC
WARREN, MI
NPI
1770973612
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Entity Type
Organization
Authorized Contact
AMY DECLUE
Director, Provider Services
407-875-2080
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2015-01-30
Last Update Date
2015-01-30
Business Address
ADVANCED DERMATOLOGY OF MICHIGAN, PC
13450 E 12 MILE RD
WARREN, MI 48088-3671
Phone number: 586-759-5525
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Mailing Address
ADVANCED DERMATOLOGY OF MICHIGAN, PC
151 SOUTHHALL LN STE 300
MAITLAND, FL 32751-7176
Phone number: 407-875-2080
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